Provider Demographics
NPI:1467106104
Name:NOYES, CHRIS J (ATC)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:J
Last Name:NOYES
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 COMMONWEALTH AVE DEPT OF
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-2709
Mailing Address - Country:US
Mailing Address - Phone:617-243-2297
Mailing Address - Fax:
Practice Address - Street 1:1844 COMMONWEALTH AVE DEPT OF
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-2716
Practice Address - Country:US
Practice Address - Phone:617-243-2297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19072255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANONEOtherATHLETIC TRAINER